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NEVER EVENTS THAT ARE CAUSED ONLY BY CARELESSNESS

Never Events due to Medical Malpractice On July 31, 2008, the Centers for Medicare & Medicaid Services (CMS) announced new Medicare and Medicaid payment and coverage policies to improve safety for hospitalized patients. The list of events below are NEVER EVENTS.

  • Foreign Object Retained After Surgery
  • Air Embolism
  • Blood Incompatibility
  • Pressure Ulcer Stages III & IV
  • Falls and Trauma:
    • Fracture
    • Dislocation
    • Intracranial Injury
    • Crushing Injury
    • Burn
    • Electric Shock
  • Catheter-Associated Urinary Tract Infection (UTI)
  • Vascular Catheter-Associated Infection
  • Manifestations of Poor Glycemic Control

If you have been a victim of a “never event” call Wall Huntington Law Firm at 316-265-6000 or contact us online for a free initial consultation.

The following events if they occur are considered Serious Reportable Adverse Events:

Current NQF Serious Reportable Adverse Events

CMS VBP Efforts

Surgical Events

Surgery on wrong body part

National Coverage Determination

Surgery on wrong patient

National Coverage Determination

Wrong surgery on a patient

National Coverage Determination

Foreign object left in patient after surgery

Hospital-Acquired Condition

Post-operative death in normal health patient
Implantation of wrong egg

Product or Device Events

Death/disability associated with use of contaminated drugs
Death/disability associated with use of device other than as intended
Death/disability associated with intravascular air embolism

Hospital-Acquired Condition

Patient Protection Events

Infant discharged to wrong person
Death/disability due to patient elopement
Patient suicide or attempted suicide resulting in disability

Care Management Events

Death/disability associated with medication error
Death/disability associated with incompatible blood

Hospital-Acquired Condition

Maternal death/disability with low risk delivery
Death/disability associated with hypoglycemia

Hospital-Acquired Condition

Death/disability associated with hyperbilirubinemia in neonates
Stage 3 or 4 pressure ulcers after admission

Hospital-Acquired Condition

Death/disability due to spinal manipulative therapy

Environment Events

Death/disability associated with electric shock

Hospital-Acquired Condition

Incident due to wrong oxygen or other gas
Death/disability associated with a burn incurred within facility

Hospital-Acquired Condition

Death/disability associated with a fall within facility

Hospital-Acquired Condition

Death/disability associated with use of restraints within facility

For more information, see: www.cms.hhs.gov/AcuteInpatientPPS/

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